South Carolina Church of God

South Carolina Church of God

Youth and KidMin Leader/Pastors' Information Form
PLEASE NOTE: If you have already provided your information, do not fill this out again or you may receive multiple emails. If you need to update your information, please call Jame` Brewington at the State Office @ 864-963-4751 ext. 103.
Name

First NameLast Name
Church where you serve
Ministry you serve (KidsMin, Youth Ministry, College, etc)
Are you the head leader of the ministry?

YesNo
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: